About This Form

If you are unable to attend an appointment at the surgery please use this form to
let us know so that we can assign your time slot to someone else. We ask that you
only use this form to cancel appointments more than 24 hours in advance.

Please Note

By using this form, you will be sending information about yourself across the Internet.
Whilst every effort is made to keep this information secure, you should be aware
that we cannot offer any guarantees of absolute privacy. If this matter concerns
you then you should use another method to notify us of your cancellation.

Personal Information

Personal information retained on this system is stored in a secure data centre located
in the UK and is treated as confidential.